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Individual

CYNTHIA ANN STANDEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 E HIGHWAY 199, SPRINGTOWN, TX 76082-2755
(817) 220-1178
(817) 220-3250
Mailing address
120 DENVER TRAIL CT, AZLE, TX 76020-3666
(817) 781-9077

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24808
TX

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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